Harrisburg Hoopla | Registration Page HARRISBURG HOOPLA EVENT REGISTRATIONRegistration:*Event ParticipantEvent Participant of a Sponsor TeamChoose one option:*Free Agents will be placed on teams of 6 or more by event coordinators.Free AgentTeam PlayerName* First Last Phone*Email* Choose a T-Shirt Size:*Participants who register after Friday, May 25th are not guaranteed to receive their preferred t-shirt size.I do not need a t-shirt, I prefer the cost of the t-shirt go towards the missionSMLXLXXLXXXLEvent Participant Registration - $50,00*On-line registration will close at 3 pm on Friday, June 5, 2020 Price: $50.00 TEAM INFORMATIONAre you the Team Captain?*YesNoName your Team*Share this name with all of your Team Players so they can enter it when registering.Team Name*When you Team Captain registered, s/he chose a Team Name. Enter that here to ensure you are matched up with the correct team.Choose a T-Shirt Size:*Participants who register after Friday, May 25th are not guaranteed to receive their preferred t-shirt size.I do not need a t-shirt, I prefer the cost of the t-shirt go towards the missionSMLXLXXLXXXLSPONSORSHIP INFORMATIONSponsor CodeIf you or your organization have submitted payment as a sponsor for this event and are entitled to free participant registrations, please enter the keyword you were provided.What is the Sponsoring Organization?*Sponsorship Participant Registration* Price: $0.00 Event Participant Registration - $50.00*On-line registration will close at 3 pm on Friday, June 5, 2020 Price: $50.00 Choose a T-Shirt Size:*Participants who register after Friday, May 25th are not guaranteed to receive their preferred t-shirt size.SMLXLXXLXXXLNONPROFIT INFORMATIONWhat community need would you like to support if your team wins?We will do our best to align your preferences with others; however, there is no guarantee.Arts & CultureCommunity DevelopmentEducationEnvironmentHealthHuman ServicesNo preferenceChoose the nonprofit organization your team will support if you win:*Alzheimer’s Disease and Related Disorders Association IncAmerican Foundation for Suicide Prevention - South Central PAArt Association of HarrisburgBethesda MissionBig Brothers-Big Sisters of the Capital Region IncBoys & Girls Club of HarrisburgBridge of Hope Harrisburg AreaCapital Area Girls on the RunCentral Pennsylvania Youth BalletCommunities in Schools of Central PACommunity Action Program-Domestic Violence ServicesCommunity Check Up Center of South Harrisburg IncCystic Fibrosis FoundationCONTACT HelplineDowntown Daily BreadFamily Promise of Harrisburg Capital RegionFeel Your Boobies FoundationFurry Friends NetworkGirl Scouts in the Heart of PennsylvaniaHarrisburg Public Schools FoundationHarrisburg River RescueHealthy Steps Diaper BankHospice of Central PennsylvaniaInfinity Charter School Playground Committee, CDSDJoshua GroupJulian Dorsey FoundationJump StreetKidney Foundation of Central PennsylvaniaMarket Square ConcertsMission of Mercy IncNational Audubon Society IncNativity School of HarrisburgNew Birth of Freedom Council of Boy Scouts of AmericaOpen Stage of HarrisburgOwen’s FoundationPennsylvania Behavioral Health and Aging CoalitionPA Wounded WarriorPeyton Walker FoundationPlanned Parenthood KeystonePlease LiveRebuilding Together Greater Hbg IncRonald McDonald House Charities of Central PaRSVP of the Capital Region IncSalvation Army Harrisburg Capital City RegionSamara - The Center for Individual and Family GrowthSetebaid Services IncShalom HouseSusquehanna Art MuseumSusquehanna Folk Music Society IncThe Center for ChampionsTri County Opportunities Industrialization Center IncTri County Community ActionVision Resources of Central PennsylvaniaVolunteers of America of PennsylvaniaYMCA of HarrisburgOtherIf you chose "Other" for your nonprofit organization, please list the name of the organization below.*The organization you list will be reviewed for acceptance. Reminder: all represented nonprofit organizations must be a local organization providing services in the Harrisburg Region and must be a registered 501(c)(3).DONATIONWould you like to make a donation to the Emerging Philanthropist Program?*YesNoPlease specify a use for your donation.*Please put my donation towards the Emerging Philanthropist Fund.Please put my donation towards the total proceeds of Harrisburg Hoopla, to be used according to the fund allocation listed above.Donation Amount* VOLUNTEERING OPPORTUNITIES FOR HARRISBURG HOOPLAWe are using the web page "Time to Sign Up" for volunteers to sign up for their shifts and responsbilities. Click here to go to the volunteer survey This link will open in a separate window. Please remember to complete and submit this registration before closing this window. You will also receive this link in your confirmation email. BILLING INFORMATIONTotal $0.00 Name on Credit Card* First Last Company Name (If they are paying for the registration)Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Billing Phone*Billing Email* Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name HARRISBURG HOOPLA'S SPORTSMANSHIP POLICY Emerging Philanthropists Program (EPP) is committed to continuing making Harrisburg a better place to live, work and play while developing and retaining future leaders. As a participant in Harrisburg Hoopla, you will represent yourself, your family, the city of Harrisburg, your employer, your team, and the organization. Harrisburg Hoopla is a great opportunity for participants to socialize with friends, network with other athletes, enjoy a family atmosphere, to be competitive, but mostly to have fun. The Harrisburg Hoopla Athlete and Spectator Code of Conduct have been established to ensure safety for our athletes, game officials, and families to have the experience to enjoy Harrisburg Hoopla. All spectators and athletes are expected to: 1) Follow the rules applicable for each sport-including the Harrisburg Hoopla Sportsmanship Policy and Athlete and Spectator Code of Conduct Policy. 2) Represent EPP in a positive light in all aspects-including all forms of social media. 3) Respect teammates, opponents, game officials, and spectators. 4) Refrain from any use of obscene or abusive language, gestures or behavior. 5) Stay clear of the athletic perimeter while the game is in action to prevent injury(s). 6) Be a professional and have fun-remember who you represent! Prohibited items at sporting facilities: 1) Alcohol, unless sold by an event vendor. (Policy is enforced by the facility contract that EPP must obey for sports rental usage). 2) Any other item or action deemed dangerous, or inappropriate. Consequences: 1) Once an athlete or spectator is informed to leave a Harrisburg Hoopla sports field, court, or stands, they must leave the premises permanently for that current event. 2) Should an athlete be found with prohibited items on a Harrisburg Hoopla sports venue or in stands, the athlete may be asked to remove the prohibited items or to leave the premises. 3) Incidents will be documented by the Harrisburg Hoopla Planning Committee and game officials. Harrisburg Hoopla Planning Committee and game officials will have the authority remove an athlete or spectator from the premises of a Harrisburg Hoopla event for having any of the above items. If an individual does not obey authority, local authorities may be contacted. Acknowledgment of Harrisburg Hoopla's Sportsman Code of Conduct*I have read and agree to abide with Hoopla's Sportsman Code of ConductHARRISBURG HOOPLA WEATHER PROTOCOLHarrisburg Hoopla will take place rain or shine. In the event of inclement weather or other conditions that may affect the safety and health of participants, event officials reserve the right to delay, postpone or cancel the event. We work with local law enforcement to be sure conditions are safe for participants. The decision on cancellation will be made whenever possible, no later than 12 hours prior to the event. Weather delays or cancellations will be posted on Harrisburg Hoopla Facebook Page All registrations are nonrefundable and nontransferable. Acknowledgement of Harrisburg Hoopla's weather protocol*I have read and agree to abide with Harrisburg Hoopla's weather protocolPARTICIPANT AGREEMENT, WAIVER AND RELEASE FORMIn consideration of being permitted by The Foundation for Enhancing Communities (TFEC), Harrisburg Young Professionals (HYP), The Emerging Philanthropist Program (EPP), a partnership between HYP and TFEC, and any other event partners and sponsors (collectively “Sponsors”), to participate in the Harrisburg Hoopla (the “Event”), I hereby waive, release and discharge any and all claims for damage for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in activities at the Event. This release is intended to discharge in advance the Sponsors, their Board of Directors, their officers, employees, and agents from any and all liability arising out of or connected in any way with my participation in the Event even though that liability may arise out of negligence or carelessness on the part of those parties. It is understood that activities such as the ones I will be participating in involve an element of risk and danger of accidents and injuries, up to and including death, and knowing those risks, I hereby assume those risks. It is further agreed that this waiver, release and assumption of risk is binding on my heirs and assigns. I agree to indemnify and to hold harmless the Sponsors, their Board of Directors, their officers, employees, and agents from any loss, liability, damage, cost, or expense which they may incur as a result of my death or any injury or property damage that I may sustain while participating in any activity at the Event. I consent to the use of any photo images taken by the Sponsors’ staff and their agents during this activity to be used in any or all Sponsor publications and websites. I acknowledge that the Event may be recorded in audio, visual, and/or audiovisual media and I consent to the making and use of such recordings by the Sponsors or their licensees for any purpose. I release the Sponsors and its licensees from and waive any claims related to or arising by reason of the making and/or use of any such recordings or photographs. I grant the Sponsors the right to use my name and likeness in connection with the use of the recordings and photographs. I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE FOUNDATION FOR ENHANCING COMMUNITIES, HARRISBURG YOUNG PROFESSIONALS, AND THE EMERGING PHILANTHROPIST PROGRAM AND I ACCEPT IT OF MY OWN FREE WILL. To finish your registration and accept the waiver of responsibility, click the submit button below.Form SecurityEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.